Individual
JERRY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
168 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-2141
(989) 453-4550
Mailing address
168 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-5210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001060
MI
Other
Enumeration date
06/23/2006
Last updated
11/11/2009
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